Organization
SPECIALIZED HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKALA MARIE LODDER (VP OF OPERATIONS)
(816) 795-7990
Entity
Organization
Contact information
Practice address
1223 N. ROCK ROAD, BUILDING I, SUITE 100, WICHITA, KS 67206
(316) 941-9698
Mailing address
2311 S REDWOOD AVE STE B, INDEPENDENCE, MO 64057-2405
(816) 795-7990
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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